|本期目录/Table of Contents|

[1]傅敏生,曹文元,林艳红,等.X线平片下C7斜率与T1斜率的相关性及其与颈椎间盘退变的关系[J].慢性病学杂志,2020,21(02):196-199.
　FUMin-sheng *,CAOWen-yuan,LINYan-hong,et al.Correlation between the slope of C7and T1on radiographs and the relationship between C7and cervical disc degeneration[J].,2020,21(02):196-199.
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X线平片下C7斜率与T1斜率的相关性及其与颈椎间盘退变的关系

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年02期
页码:
196-199
栏目:
论　著
出版日期:
2020-02-28

文章信息/Info

Title:
Correlation between the slope of C7and T1on radiographs and the relationship between C7and cervical disc degeneration
作者:
傅敏生1; 曹文元1; 林艳红1; 邱剑斌
1.闽西职业技术学院医学护理学院，福建 龙岩 364000； 2.福建医科大学附属龙岩第一医院，福建 龙岩 364000
Author(s):
FUMin-sheng * ; CAOWen-yuan; LINYan-hong; QIUJian-bin
*Departmentof Medical Nursing,MinxiVocational&TechnicalCollege, Longyan364000,Fujian,China
关键词:
第7颈椎斜率; 第1胸椎斜率; 颈椎间盘退变; X线
Keywords:
C7 slope;  T1 slope;  Cervical disc degeneration;  Radiographs
分类号:
R12.1
DOI:
-
摘要:
目的 探讨X线平片下C7斜率与T1斜率的相关性及其与颈椎间盘退变的关系。方法 回顾性分析 2019年1—6月福建医科大学附属龙岩第一医院接受颈椎侧位X线平片和MRI检查的80例颈椎退行性疾病患者， 测量X线平片下C7斜率与T1斜率，参照MRI椎间盘退变Pfirrmann分级评分系统判定退变严重程度。结果 本 组患者X线平片下C7斜率为23.06°±7.84°，T1斜率为27.08°±7.42°。Person相关分析显示，C7斜率与T1斜率呈正 相关（r=0.917，P<0.001）。T1斜率关于C7斜率的直线回归方程为：T1斜率=7.09+0.87×C7斜率。和高C7斜 率组（>20°）比较，低C7斜率组（≤20°）各阶段颈椎间盘退变Pfirrmann分级总分较高[（13.94±1.63）vs. （12.63±1.30）；t=4.001, P<0.001]，中重度颈椎间盘退变（Pfirrmann分级评分≥15分）所占比例较高（40.62% vs. 8.33%，χ 2 =11.964，P=0.001）。低C7斜率组（≤20°）患者C5-6[（3.22±0.83) vs.（2.81±0.73）；t=2.299， P=0.024]和C6-7[（2.78±0.61）vs.（2.42±0.58）；t=2.708，P=0.008]节段椎间盘退变Pfirrmann分级评分显著大 于高C7斜率组（>20°），差异有统计学意义（P<0.05）。结论 X线平片下C7斜率与T1斜率存在线性正相关，低 C7斜率对预测C5-6和C6-7节段颈椎间盘退变具有价值，C7斜率可以作为X线平片下T1上终板显示不清而无法测量 T1斜率时的替代参数。
Abstract:
Objective To investigate the correlation between C7 slope and T1 slope on X-ray plain film and the relationship between C7 slope and cervical disc degeneration. Methods A total of80 pa-tients with cervical degenerative diseases who received lateral X-ray and MRI examination from Janu-ary 2019 to June 2019 in Longyan First Hospital Affiliated to Fujian Medical University were analyzed retrospectively. The C7 slope and T1 slope were measured under X-ray plain film, and the severity of degeneration was determined according to Pfirrmann grading system of MRI Intervertebral disc degenera-tion. Results The slopes of C7 and T1 under the X-ray plain film were 23.06°±7.84° and 27.08°± 7.42°, respectively. Pearson correlation analysis showed that C7 slope was positively correlated with T1 slope（r=0.917, P<0.001）. The linear regression equation of T1 slope with respect to C7 slope is T1 slope=7.09+0.87×C7 slope. Compared with high C7 slope group（>20°）, the total Pfirrmann score of cervical disc degeneration in low C7 slope group（≤20°）was significantly higher（13.94±1.63 vs 12.63± 1.30, t=4.001, P<0.001）. The proportion of moderate and severe cervical disc degeneration （Pfir-rmann score ≥15）in low C7 slope group was significantly higher（40.62% vs8.33%,χ 2 =11.964, P=0.001）. The Pfirrmann score of C5-6 （3.22±0.83 vs 2.81±0.73, t=2.299, P=0.024）and C6-7 （2.78± 0.61 vs 2.42±0.58, t=2.708, P=0.008）in low C7 slope group were significantly higher than those of high C7 slope group（P<0.05）. Conclusion There is a linear positive correlation between C7 slope and T1 slope under X-ray plain film. Low C7 slope is valuable for predicting cervical disc degeneration at C5-6 and C6-7 segments. C7 slope can be used as an alternative parameter when T1 slope cannot be measured due to unclear display on T1 upper end plate under X-ray plain film.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：福建省职业教育教学改革研究项目（GB2017034）；闽西职业技术学院科研项目（MXZY1953） 作者简介：傅敏生,大学本科，中级，研究方向：解剖学、慢性病 通信作者：傅敏生,Email：mxjyjpf@sina.com
更新日期/Last Update: 2020-02-28